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1245635374
SUSAN BAGOZZI
SYRACUSE, NY
NPI
1245635374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 319765-1)
Enumeration Date
2014-10-31
Last Update Date
2014-10-31
Business Address
Mrs. SUSAN BAGOZZI lpn
125 LAKE COUNTRY DR
SYRACUSE, NY 13209-1327
Phone number: 315-468-4020
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Mailing Address
Mrs. SUSAN BAGOZZI lpn
125 LAKE COUNTRY DR
SYRACUSE, NY 13209-1327
Phone number: 315-468-4020
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